Exam 16: The Respiratory System

The nurse is preparing a care plan for an older client with asthma. The client is receiving oxygen and has a respiratory rate of 28 breaths per minute, heart rate of 86 beats per minute, and blood pressure of 108/52 mmHg. Which nursing diagnosis would be the priority for this client?

The nurse has identified the diagnosis of ineffective airway clearance for an older client with pneumonia. Which intervention is most important to include when planning care for this client?

What steps will the nurse follow when administering a two-step purified protein derivative (PPD) tuberculin skin test to an older client? Select all that apply.

An older client is prescribed isoniazid (INH) for 6 months. What should the nurse instruct the client about this medication?

Grant funding has been decreased for community disease-prevention programs. Which programs are the nurse's priority to implement, without modification, for the community of older-adult clients? Select all that apply.

An older client is prescribed an inhaled corticosteroid as part of treatment for asthma. What will the nurse instruct the client about the use of this medication? Select all that apply.

What will the nurse instruct an older client with asthma to do to control exposure to household allergens? Select all that apply.

An older client asks the nurse what can be done to prevent a respiratory infection during the winter months. How should the nurse respond to this client? Select all that apply.

The nurse is reviewing new medication orders for an older client with asthma. Which medication should the nurse question before providing it to the client?

When admitting an older client with chronic obstructive lung disease (COPD), which finding most concerns the nurse?

The nurse is caring for an older client with asthma that has a respiratory rate of 28 breaths per minute and audible wheezes on inspiration. Which nursing diagnosis is most important for this client?

An older client with asthma is prescribed a rescue inhaler of albuterol. What should the nurse instruct the client about using this medication? Select all that apply.

The nurse is caring for a frail older client with chronic obstructive pulmonary disease (COPD) who is having difficulty clearing secretions from the respiratory tract. Which actions can the nurse take to help this client? Select all that apply.

The nurse plans teaching for the older adult client about prevention of respiratory illnesses. What is the most important strategy for the client to use?

Which finding in the older client with chronic obstructive pulmonary disease (COPD) most concerns the nurse?

An older client with chronic obstructive pulmonary disease (COPD) is admitted for nebulizer treatment, intravenous steroids, and antibiotics. The client develops a tachydysrhythmia. Which nursing diagnosis is the priority for this client?

The nurse cares for a group of clients at risk for lower respiratory infection. The nurse is most concerned about which clients? Select all that apply.

The nurse cares for a client admitted to rule out active tuberculosis. What manifestations best indicate that the client has active tuberculosis? Select all that apply.

An older client is scheduled for diagnostic testing. What is the best indication for the client to undergo pulmonary function tests?

What is the most important teaching point from the nurse to the older client diagnosed with asthma?